The question
Hi Dr. Sher.
I just got my pgs report from my egg retrieval and I have 5 euploids all top grade. I should be happy especially since I turn 40 soon.
The bad news is that my doctor found a small submucosal fibroid that she was unable to remove through a hysteroscopy as it is less than 50% in the cavity. She hasn’t told me how big it is yet (I saw my chart and I think it may be 2 cms but I’m not sure and will have to confirm). She said that she we should proceed with a transfer and if it doesn’t implant, then she may consider referring me for a laparoscopic myomecyomy but that it can lead to scar tissue. So now I am freaking out that if I do have to get it removed that my uterus will be damaged since more than 50% of the fibroid is in the muscle of the uterus.
Please advise. What are your thoughts?
Answer from Dr. Geoffrey Sher
Very respectfully, I would advise against proceeding to FET with a submucous fibroid. My advice would be to see a reproductive surgeon and have it removed, wait at least months and then proceed to a 2nd look hysteroscopy to make sure the uterine cavity is back to normal and if so, only then proceed to FET.
Good luck!
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com
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General information only, not medical advice for your own situation. For that, book a consultation.